PMID- 22353757 OWN - NLM STAT- MEDLINE DCOM- 20120921 LR - 20211021 IS - 1740-634X (Electronic) IS - 0893-133X (Print) IS - 0893-133X (Linking) VI - 37 IP - 7 DP - 2012 Jun TI - Selective DNA methylation of BDNF promoter in bipolar disorder: differences among patients with BDI and BDII. PG - 1647-55 LID - 10.1038/npp.2012.10 [doi] AB - The etiology of bipolar disorder (BD) is still poorly understood, involving genetic and epigenetic mechanisms as well as environmental contributions. This study aimed to investigate the degree of DNA methylation at the promoter region of the brain-derived neurotrophic factor (BDNF) gene, as one of the candidate genes associated with major psychoses, in peripheral blood mononuclear cells isolated from 94 patients with BD (BD I=49, BD II=45) and 52 healthy controls. A significant BDNF gene expression downregulation was observed in BD II 0.53+/-0.11%; P<0.05), but not in BD I (1.13+/-0.19%) patients compared with controls (CONT: 1+/-0.2%). Consistently, an hypermethylation of the BDNF promoter region was specifically found in BD II patients (CONT: 24.0+/-2.1%; BDI: 20.4+/-1.7%; BDII: 33.3+/-3.5%, P<0.05). Of note, higher levels of DNA methylation were observed in BD subjects on pharmacological treatment with mood stabilizers plus antidepressants (34.6+/-4.2%, predominantly BD II) compared with those exclusively on mood-stabilizing agents (21.7+/-1.8%; P<0.01, predominantly BD I). Moreover, among the different pharmacological therapies, lithium (20.1+/-3.8%, P<0.05) and valproate (23.6+/-2.9%, P<0.05) were associated with a significant reduction of DNA methylation compared with other drugs (35.6+/-4.6%). Present findings suggest selective changes in DNA methylation of BDNF promoter in subjects with BD type II and highlight the importance of epigenetic factors in mediating the onset and/or susceptibility to BD, providing new insight into the mechanisms of gene expression. Moreover, they shed light on possible mechanisms of action of mood-stabilizing compounds vs antidepressants in the treatment of BD, pointing out that BDNF regulation might be a key target for their effects. FAU - D'Addario, Claudio AU - D'Addario C AD - Department of Biomedical Sciences, University of Teramo, Teramo, Italy. FAU - Dell'Osso, Bernardo AU - Dell'Osso B FAU - Palazzo, Maria Carlotta AU - Palazzo MC FAU - Benatti, Beatrice AU - Benatti B FAU - Lietti, Licia AU - Lietti L FAU - Cattaneo, Elisabetta AU - Cattaneo E FAU - Galimberti, Daniela AU - Galimberti D FAU - Fenoglio, Chiara AU - Fenoglio C FAU - Cortini, Francesca AU - Cortini F FAU - Scarpini, Elio AU - Scarpini E FAU - Arosio, Beatrice AU - Arosio B FAU - Di Francesco, Andrea AU - Di Francesco A FAU - Di Benedetto, Manuela AU - Di Benedetto M FAU - Romualdi, Patrizia AU - Romualdi P FAU - Candeletti, Sanzio AU - Candeletti S FAU - Mari, Daniela AU - Mari D FAU - Bergamaschini, Luigi AU - Bergamaschini L FAU - Bresolin, Nereo AU - Bresolin N FAU - Maccarrone, Mauro AU - Maccarrone M FAU - Altamura, A Carlo AU - Altamura AC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120222 PL - England TA - Neuropsychopharmacology JT - Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology JID - 8904907 RN - 0 (Antipsychotic Agents) RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Adult MH - Aged MH - Antipsychotic Agents/pharmacology/therapeutic use MH - Bipolar Disorder/drug therapy/*genetics MH - Brain-Derived Neurotrophic Factor/*genetics MH - *DNA Methylation MH - Down-Regulation/drug effects MH - Female MH - Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - *Promoter Regions, Genetic PMC - PMC3358733 EDAT- 2012/02/23 06:00 MHDA- 2012/09/22 06:00 PMCR- 2013/06/01 CRDT- 2012/02/23 06:00 PHST- 2012/02/23 06:00 [entrez] PHST- 2012/02/23 06:00 [pubmed] PHST- 2012/09/22 06:00 [medline] PHST- 2013/06/01 00:00 [pmc-release] AID - npp201210 [pii] AID - 10.1038/npp.2012.10 [doi] PST - ppublish SO - Neuropsychopharmacology. 2012 Jun;37(7):1647-55. doi: 10.1038/npp.2012.10. Epub 2012 Feb 22.